MEDICARE: TRANSITIONSOT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1013592492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSITIONSOT

Provider Business Mailing Address
First Line	:	138 SUFFOLK ST UNIT D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-8508
Country	:	US
Telephone Number	:	212-253-5759
Fax Number	:

Provider Business Practice Location Address
First Line	:	138 SUFFOLK ST UNIT D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-8508
Country	:	US
Telephone Number	:	212-253-5759
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PATRICIA MOTUS
Credential	:	OTR/L, RYT
Telephone Number	:	917-306-8501

Provider Enumeration Date	:	03/16/2021
Last Update Date	:	03/24/2021

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Directions to “TRANSITIONSOT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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